A 25 - year - old client comes to the facility complaining of abrupt and severe lower abdominal pain, which radiates to the lower back and thighs. The client says the pain usually lasts for 20 minutes, resolves and then comes back again. The pain has started 12 hours before the consult. The client also reports vomiting, excessive sweating and constipation. Assessment findings include fever, tachycardia and tenderness over the lower abdominal region, with greater pain reported on the side. Urine human chorionic gonadotropin test is negative. Which of the following diagnostic tests is ordered for further evaluation and diagnosis?

Question

Quizplus · Accepted Answer

Pelvic ultrasound is ordered for further evaluation and diagnosis. Based on the history and signs and symptoms, the client is likely experiencing ovarian torsion, or twisting of the ovary. This condition is also known as adnexal torsion. A pelvic ultrasound is the diagnostic tool of choice as it can accurately and easily evaluate adnexal masses. A Doppler ultrasound may be used to help determine if the blood flow is impaired. A computed tomography or magnetic resonance imaging is not definitive when evaluating adnexal masses. Ovarian torsion is manifested by extreme, abrupt lower abdominal pain. It is caused by the existence of another disease or by a congenital abnormality. Ovarian torsion commonly occurs in females in their mid - twenties and postmenopausal clients.

A 25 - Year - Old Client Comes to the Facility